Scuba diving and free diving for fun necessitates adequate physical and mental health. There are a few medical disorders that can make diving dangerous, as described below. Any of these disorders should be evaluated by a physician if you have them or are predisposed to them. This Diver Medical Participant Questionnaire might help you decide if or not you need that evaluation. Consult your physician before diving if you have any concerns about your diving fitness that are not addressed on this form. If you're sick, don't go diving.
If you suspect you may have a contagious disease, avoid diving training and/or activities to protect yourself and others. On this form, the term "diving" refers to both recreational scuba diving and free diving. This form is intended to serve as an initial medical screening for new dives, but it can also be used by divers who are continuing their education. Answer all questions honestly for your own safety and the protection of others who may dive with you.
This questionnaire must be completed before enrolling in a recreational scuba diving or free diving school. Note: Women should not dive if they are pregnant or trying to become pregnant.
A medical evaluation is not required if you replied NO to all ten questions above. Please read the participation statement below and sign and date it if you agree.
Participant Statement: I have answered all questions truthfully and realize that I am responsible for any consequences that may arise as a result of any questions I may have answered incorrectly or for my omission to reveal any current or previous health issues.
If you answered YES to any of the questions on page 2 OR to any of the questions on page 3, please read the statement above and sign and date it, as well as take all three pages of this form (Participant Questionnaire and Physician's Evaluation Form) to your physician for a medical evaluation. Your physician must give you permission to participate in a diving course.